| NPI | 1578264685 |
|---|---|
| Doing Business As | FAMILY FRIENDLY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | MYRNA BASHAM Owner/ Manager 702-272-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-07-29 |